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Implantable Cardioverter-Defibrillator : A Practical Manual - L.Bing Liem

Implantable Cardioverter-Defibrillator

A Practical Manual

Hardcover

Published: 28th February 2001
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ICD therapy has become the standard form of treatment for ventricular tachyarrhythmias. With clinical data showing its efficacy in both secondary and primary prevention of premature sudden death, its use is likely to increase dramatically in the next decade. Technological advancement has been instrumental in simplifying ICD implantation. However, technical additions to the device have also made its scope of functions more complex. In addition to providing rapid and effective therapy for ventricular tachycardia and fibrillation, the ICD is now capable of providing a full spectrum dual-chamber pacing as well as therapies for atrial fibrillation. Soon, it will also be able to provide treatment for congestive heart failure using multi-site ventricular pacing and provide continuous hemodynamic monitoring. This book serves as an introductory text to those who are relatively new to this technology. In its manual form, it outlines the pertinent components of ICD functions and the basic differences among the various models. It provides practical points in ICD implantation, and in its programming and trouble-shooting.

Forewordp. ix
Introductionp. xi
Historical Perspectivep. 1
The Development of the Implantable Defibrillatorp. 1
Other Therapy for Ventricular Tachyarrhythmiasp. 4
The Emerging Role of the Implantable Defibrillatorp. 13
Indications for ICD Therapyp. 19
Early Role of ICDp. 19
Results of Clinical Trialsp. 19
Current Practice Guidelinesp. 25
Expanding Indicationsp. 28
Economical Impact of ICD Usagep. 30
Device Operationp. 35
The Basic ICDp. 35
Defibrillation Concept and Technologyp. 38
Pacing Concept and Technologyp. 53
Sensing Concept and Technologyp. 56
Basic Tachyarrhythmia Detection Featuresp. 63
Enhanced Detection Featuresp. 70
Discrimination Using Dual-Chamber Sensingp. 76
Implantation Procedurep. 91
The Open-Chest Surgical Approachp. 91
Improvement in Device Hardwarep. 93
Current Techniquep. 95
Pacing Parameters Measurementp. 99
Defibrillation Testingp. 100
Explantation and Revision Proceduresp. 108
Perioperative Issuesp. 113
Patient Managementp. 121
General Considerationsp. 121
Basic Programmingp. 122
Programming VF Zone and Therapyp. 123
Programming VT Zone and Therapyp. 125
Utilizing Detection Enhancement Featuresp. 131
Programming Onset and Stability Criteriap. 131
Programming QRS Width and Morphologyp. 132
Programming Detection Enhancement in Dual-Chamber ICDp. 134
Programming Bradycardia Parametersp. 141
Follow Up Carep. 145
Some Practical Steps of ICD Managementp. 154
Radiographic Identificationp. 155
Interactions with Drugs and Pacemakersp. 157
Interactions with Electromagnetic Fieldp. 161
Quality of Life Aspectsp. 164
Trouble Shootingp. 166
New Featuresp. 185
Further Technological Refinementp. 185
The incorporation of Therapy for Atrial Tachyarrhythmiasp. 191
Pacing Therapy for Heart Failurep. 193
Summaryp. 197
Indexp. 203
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780792367437
ISBN-10: 079236743X
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 208
Published: 28th February 2001
Publisher: SPRINGER VERLAG GMBH
Country of Publication: NL
Dimensions (cm): 24.77 x 16.46  x 1.58
Weight (kg): 0.55